Individual provider Active NPI

Mark E. Endicott, M.D.

  • Orthopaedic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1093783425
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G46261 Issued in CA
Practice address
2801 K Street
Suite 500
Sacramento, CA 95816-5119
Phone
(916) 732-3341
Fax
(916) 732-3360
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G46261 CA Primary

Addresses

Primary practice location

2801 K Street
Suite 500
Sacramento, CA 95816-5119

Mailing address

2801 K St 500
Sacramento, CA 95816-5119
Phone (916) 732-3340

Other identifiers 1

IdentifierTypeStateIssuer
00G46261MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090320000175 CA Practitioner - Orthopedic Surgery 8921165838 Reassigns benefits to 3 organizations
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
George Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 K St
Suite 500
Sacramento, CA 95816-5119
Phone (916) 732-3340

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)28
Upper limb (arm) arthroscopy (minimally invasive joint repair)14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46261CAMDDentist
G46261CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Jan 5, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 5, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Jun 15, 2015 Accepting new patients
Sutter Valley Medical Foundation Orthopaedic Surgery Current Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Ea Health Physicians Medical Group, Inc. Past Accepting new patients
Acute Care Surgery Medical Group of New Mexico, Inc. Past Accepting new patients
Surgical Affiliates Management Group, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

414 G St
Ste 120
Marysville, CA 95901
Phone (530) 749-2110

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2801 K St
Ste 400
Sacramento, CA 95816
Phone (916) 733-5080

2801 K St
Ste 500
Sacramento, CA 95816
Phone (916) 732-3340

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2725 Capitol Ave
Dept 302
Sacramento, CA 95816
Phone (916) 262-9440

Interoperability endpoints

  • Direct secure messaging: mark.endicott.1@2344.direct.athenahealth.com
  • Direct secure messaging: mendicott27032@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1093783425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 K ST 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165119",
            "telephone_number": "916-732-3340",
            "fax_number": "916-732-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K STREET",
            "address_2": "SUITE 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165119",
            "telephone_number": "916-732-3341",
            "fax_number": "916-732-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDICOTT",
        "first_name": "MARK",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G46261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G46261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.